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BILLING PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0231405
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BILLING PRE 2019
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Entry Properties
Last modified
2/29/2024 1:16:56 PM
Creation date
10/26/2018 2:04:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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WL <br /> UNIFIED PROGRAM CONSOLIDATED F-CMW <br /> "DERGROUND STORAGE TANK <br /> MONITORING PIAN-(page I of 2) <br /> TYPE OF ACTION )YI.NEW PLAN ❑ 2.CHANGE OF INFORMATION 4941 <br /> eofl. LAN'TYPE "d 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. a°o; <br /> F <br /> (Chock one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTFM( <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> � — 1 <br /> BUSINESS NAME(Same as FACILITY NAME) <br /> BUSINESS SITE ADDRESS S7& WW/5,F .t- 103 C71Y Oa, <br /> lLEQi1TPMENT TESTING AND PRE ,A <br /> VENTIVE MWTEINANCE <br /> Testing,preven6vc maintcnance,and calibration of monitoring cquipment(c.g.,sensors,probca,tine leak deteetots,etc.)must be performed ai the frequency <br /> specified by the equipment manufactures'instructions,or armually,whichever is more licqucut,and that such work must be erfonned b <br /> (23 CCR§26_32,2634,263`3,2641) P y qualified persotlneL <br /> MONITORING EQUIPMENT IS SERVICED 1,ANNUALLY — — 4,0.F]❑ 99-OTHF-R(Specify): 490.31 <br /> III. MONITORING LOCATIONS <br /> 1.N7 <br /> SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBb1ITTED. (23 CCR§2632, <br /> 2634 9o.a <br /> IV.TANK MONTTORING IS`PERFORMED USING THE FOLLOWING MWTHOD(S): <br /> 1,CON I7NUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 49" <br /> VAVLT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> _ SECONDARY CONTAINMENT IS: 'a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSUR17171) ❑d-UNDER VAC(;VM aunb <br /> PANEL MANUFACTURER; r avers <br /> _ _ -� ., MODEL#: <br /> LEAK SENSOR MANUFACTURER: Q ago 9. MODE#(S)----l�Cf 49( 10 <br /> Ll 2.AUTOMATIC TANK rat1GING(ATC)SYSTEM USED TO MONITOR SINGLE WALL,1'ANK(S (23 CCR§2643) 49411 <br /> PANEL MANUFACTURER: _ 490.12. MODEL#; 49°13 <br /> IN-TANK PROBE MANUFACTURER: <br /> LEAK TEST fREQUENt Y: ❑ a.CONTINUOUS^ ❑ b.DAILY/NIGIG LY ❑ c-WEEKLY 49a!6 <br /> _. _ ❑ d MONTHLY ❑ e.OTHER(�tfy): 49017 <br /> PROGRAMMED TESTS ❑ a 0.1 g.p.h. ❑ b-02 g,p,h. ❑ C.OTHEK(hpecity); —� — wu.la <br /> 490-14 <br /> 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1); 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD- ❑! 36 HOURS ❑ b.601ICURS 40 <br /> J.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-122 <br /> TEST FREQUENCY: ago 23 <br /> ❑ a.A'N'NUALLY ❑ b.BIENNIALLY ❑ C.OTHER(Specify): 490:+4 <br /> I a9o-25 <br /> Cl 99.OTHER (Specify): <br /> 490`0 <br /> V.PIPE MONITORING IS PERFORMM USING TAE FOLLOWLNG WTHOD(S)(Check aH that apply) 490-27SUAL ALARMS. (23 CCR§2636)1.CONTINUOIN t►IONITORJNG Op PIPE/PIPL'vG SUNIP(y)APND OTHER S]~C'UNDARV CONTAINMIrN T WITH gUDIBLE AND 490.28 <br /> SECONDARY CONTAINMENT IS:Ua.DRY ❑b,LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490'-9 <br /> – PATIELMANUFACTURER; r i �• �-��� ']�� GAEL# •Y 490-31 <br /> LEAK SENSOR MANUFACTURE`ZJSY�'t._4��r�` o`��_ Y a9a32 MODEL#(S): 6 490.)3 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(ix..TURBINE)SHUTDOWN! —� <br /> ❑a.YES <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTQOWN. [j a.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LUNE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g,p.h.LE�K TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LE K IS DETECT (23 CrRR 62616 FF <br /> MLLD MANUFACTURER( ): 6-5 �_ <br /> _ 7 MODEL#{S); � t��. �- 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS g,p.h.LISA TESTS (23 CCR§2636) 490,39 <br /> ELLD MANUFACITUREF,(5)- _ -— 3 T .. 490 4! <br /> _ MODEL#(S): <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.M6�'IIv1UM MONTHLY 0?g.ph. _ Q 2 WINIIy1UM ANNUAL 0.1 h. �2 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP qM rTDOWN. f ❑ ❑b.NO "0 3j <br /> u.YES <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, I ❑a-YES ❑b-NO 49043 <br /> Lj 4,PIPE INTEGRITY TESTING 49o45 <br /> TESTF UENCY ❑ a.ANNUALLY F1 b.EVERY t VEARS c.OTIIER(S ) <br /> 5.VISUAL PIPE MONITORING. 49446 49°x7 . <br /> FREQUENCY ❑ a.DAILY ❑ b,WEEKLY ❑c.MIN,MONTHLY 4,FACH TIME SYSTEM 0PEkAT7 490 48 <br /> Allowtd for moai[oria><of unburiy paarl:®ey aCamtor fuel p�Pj�R on1Y PQ NJC S2S81�tbl(31 <br /> 490-49 <br /> p 6,SUCTION F[FING VIEETS EXEMYriON CRITERIA[23 CCR§26364)(3)]. <br /> 7,NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 fS CQNNECTED TO THE T.41YK SYSTEM 494so <br /> 49041 II i <br /> 0 99.OTHER(Spc ity) I 49as2 <br /> a90s3 i <br /> UPCF UST-D(ttrW7)iia <br /> 60/Z0 39VCODA SV9 3NO V T0:7,0 500Z/80/0T <br />
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